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Contents
1 Causes
2 Focal dystonia
3 Embouchure overuse syndrome
4 Mouthpiece pressure
5 Diagnosis
6 Recovery
7 Additional information
8 References
Causes
There are a variety of causes for embouchure collapse, mainly focal
dystonia or Embouchure Overuse Syndrome; also, the topic of mouthpiece
pressure (whether or not excessive pressure is damaging to the
embouchure) is hotly debated by brass players.
Focal dystonia
Dystonia is a neurological disease affecting the brain's ability to fire
neurons (which control muscle movement) correctly. Focal dystonia
specifically affects one particular area of the body and is usually completely
isolated, affecting only one activity.[1] The disease basically renders the
sufferer unable to control the muscles in the affected area.[2]
Most brass players at some time experience lip swelling (or "stiff lips").
When a player is forced to continue playing despite this, the resulting stress
can cause a chain of injuries that lead to embouchure collapse.[3]
Generally speaking, the best way of overcoming swollen lips is to refrain
from playing, or to practice for a shorter period of time and with a good
warm-up in the days following any period of extensive playing. When a
player is deprived of the opportunity to recuperate after a period of
extensive playing, the simple matter of swollen lips is not allowed to heal,
and the player is forced to work harder to compensate for diminished lip
strength. Eventually, the player's facial muscles may collapse under the
strain of playing.[3]
Mouthpiece pressure
The subject of mouthpiece pressure is closely related to the issue of
embouchure collapse/embouchure overuse.
Diagnosis
Embouchure collapse caused by focal dystonia can be diagnosed medically;
embouchure collapse caused by embouchure overuse, however, is generally
speaking not considered to be a specifically medical issue. A difficulty in
diagnosis is that when a brass player describes the symptoms to a doctor or
dentist (as is often the case), the medical practitioner does not fully
understand what the patient means. This is because brass players learn their
embouchure by feel, and therefore words have a limited ability to describe
embouchure problems, especially if the person listening to the description
is not a brass player and has a limited knowledge of the embouchure.[3]
Also, in less severe cases, the player may only be able to feel what is wrong
while playing. Many players with an embouchure problem will, once they
have realized that it is more than a simple case of tired lips, wish to refrain
from playing. The fact that around 24 muscles are employed in forming a
brass embouchure, and that each will change slightly as a player struggles
to play when experiencing embouchure problems, mean that what players
describe as being wrong will have not only worsened their condition when
they play, but will be different each time they do so.
In the severest cases, the pain caused by embouchure overuse can be felt
even when not playing; in some cases, other symptoms will manifest, such
as loss of tissue and damaged nerves. This, however, occurs only in the
rarest and most extreme circumstances and usually signals the end of the
player's career.
Recovery
As stated above, sufferes of focal dystonia have virtually no possibility or
recovery from embouchure collapse. Sufferers of embouchure overuse,
however, have been known to recover. The simplest way of doing so is to
refrain from playing for an extended period of time, possibly years, before
attempting to play again. The exact amount of time needed and whether or
not the player will have to completely relearn the use of the embouchure is
a largely subjective issue and depends on the individual.
Additional information
Several books on the subject are available, including Broken Embouchures
by Lucinda Lewis, a professional hornist, who has succeeded in helping
other brass players with embouchure problems.[6]
References
1. ^ a b Embouchures.com Service 3
(http://www.embouchures.com/Medical.htm)
2. ^ http://en.wikipedia.org/wiki/Focal_dystonia
3. ^ a b c Broken Embouchures
(http://abel.hive.no/trumpet/embouchure/Broken_Embouchures.html)
4. ^ a b Mouthpiece Pressure - Fact or Myth - Polyphonic.org
(http://www.polyphonic.org/article.php?id=9)
5. ^ Jay Friedman: Principal Trombonist, Chicago Symphony Orchestra
(http://www.jayfriedman.net/reflections/20041108Shifting_gears.php)
6. ^ Embouchures.com (http://www.embouchures.com/)
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Categories: Brass instruments Mouth